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MICHAEL J REILLY MD
NPI 1528097169
Emergency Medicine in Schenectady, NY

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
600 MCCLELLAN ST, DEPARTMENT OF EMERGENCY, SCHENECTADY, NY 12304(518) 382-2222 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael J Reilly Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL J REILLY MD (NPI 1528097169) is an individual emergency medicine provider in Schenectady, New York, licensed in New York (189470-1) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Cobleskill Regional Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1528097169
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL J REILLYCredential: MD
Location Address600 MCCLELLAN ST, DEPARTMENT OF EMERGENCYSchenectady, NY 12304-1009
Mailing Address1462 Erie Blvd, Attn: The Medical GroupSchenectady, NY 12305-1026 · (518) 243-1020 · Fax (518) 243-1021
Phone(518) 382-2222
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 3, 2006
Last NPPES UpdateApril 1, 2008
✔ NPI 1528097169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 189470-1
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 189470-1 (NY)
600 MCCLELLAN ST, Schenectady, NY 12304
Open in Google Maps ↗

Other Identifiers 5

Other3002305Mvp
Other000912740003NY · Bsneny
Medicare UPINF37752NY
Medicaid01378692NY
Medicare PINCC3479NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael J Reilly Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769560648
PECOS Enrollment IDI20080417000135
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Michael Reilly reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Albany Medical College
0.9 mi
Urgent Care
1769 UNION ST
Niskayuna, NY 12309
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1366872244 (New York)
  • 57 clinicians in this Medicare group
NPI 1801332515 (518) 264-4600
Bassett Hospital Of Schoharie County
30 mi
Critical Access
178 GRANDVIEW DR
Cobleskill, NY 12043
  • Reassigned Medicare billing, New York enrollment
  • 202 clinicians in this Medicare group
NPI 1891862579 (518) 254-3456
Little Falls Hospital
50 mi
Critical Access
140 BURWELL ST
Little Falls, NY 13365
  • Reassigned Medicare billing, New York enrollment
  • 202 clinicians in this Medicare group
NPI 1558321919 (315) 823-5281
Mary Imogene Bassett Hospital
52 mi
Multi-Specialty
1 ATWELL RD
Cooperstown, NY 13326
  • Reassigned Medicare billing, New York enrollment
  • 1,052 clinicians in this Medicare group
NPI 1083664221 (607) 547-6858
O'connor Hospital
63 mi
Critical Access
460 ANDES RD
Delhi, NY 13753
  • Reassigned Medicare billing, New York enrollment
  • 199 clinicians in this Medicare group
NPI 1891728192 (607) 746-0326

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services23 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
15 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cobleskill Regional Hospital

Critical Access Hospitals · Cobleskill, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number331320
Location178 Grandview DriveCobleskill, NY 12043 · Schoharie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
99%115 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%144 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMY REBECCA KENNEDY RD
Dietitian, Registered
600 MCCLELLAN ST, 2 EAST
SCHENECTADY, NY 12304
Schenectady County (518) 347-5421
ELLIS HOSPITAL
Clinic/Center (Primary Care)
600 MCCLELLAN ST
SCHENECTADY, NY 12304
Schenectady County (518) 382-2217
MEGAN CURRAN D.M.D.
Dentist
600 MCCLELLAN ST
SCHENECTADY, NY 12304
Schenectady County (518) 382-2270
DR. CRAIG EDWARD TODD M.D.
Emergency Medicine
600 MCCLELLAN ST
SCHENECTADY, NY 12304
Schenectady County (518) 382-2222
HEDVA SHAMIR MD
Emergency Medicine
600 MCCLELLAN ST, DEPARTMENT OF EMERGENCY
SCHENECTADY, NY 12304
Schenectady County (518) 382-2222
FLOR DE MARIA ARNOLD NP
Nurse Practitioner (Psychiatric/Mental Health)
600 MCCLELLAN ST
SCHENECTADY, NY 12304
Schenectady County (518) 382-2290
PARKVIEW PATHOLOGY ASSOCIATES PC
Pathology (Anatomic Pathology & Clinical Pathology)
600 MCCLELLAN ST
SCHENECTADY, NY 12304
Schenectady County (518) 382-5339
ELLIS HOSPITAL
Pharmacy (Long Term Care Pharmacy)
600 MCCLELLAN ST
SCHENECTADY, NY 12304
Schenectady County (518) 347-5315

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Reilly's NPI number?

The NPI number for Michael Reilly is 1528097169. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Michael Reilly located?

Michael Reilly practices at 600 Mcclellan St Department Of Emergency, Schenectady, NY 12304. The listed phone number is (518) 382-2222.

What is Michael Reilly's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Reilly enrolled in Medicare?

Yes. Michael Reilly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Reilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Reilly reassigns Medicare benefits to 5 organizations: Albany Medical College (Niskayuna, NY), Bassett Hospital Of Schoharie County (Cobleskill, NY), Little Falls Hospital (Little Falls, NY), Mary Imogene Bassett Hospital (Cooperstown, NY) and O'connor Hospital (Delhi, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Reilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Reilly affiliated with any hospitals?

According to CMS data, Michael Reilly is affiliated with Cobleskill Regional Hospital.

When was this NPI record last updated?

The NPPES record for Michael Reilly was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.